Using patient-directed and outcome-informed outcome measures with psycho-oncology patients in a clinical health psychology setting

BACKGROUND: Therapeutic alliance and simi- larity in the patient-therapist model of change are associated with better outcomes (Duncan et al., 2003). The Outcome Rating Scale (ORS) measures the patient’s perception of functional improvement, and the Session Rating Scale (SRS) measures the therapeutic alliance (Miller, Duncan, Sorrell & Brown, 2005). AIMS: To measure the outcomes of psychological interventions in cancer patients using the ORS/SRS to explore if a patient’s feedback on the quality of the therapeutic relationship is corre- lated with better outcomes in cancer patients. METHODS: ORS/SRS data for all outpatient psy- chology patients presenting across different health presentations were analysed (Pereira, Phull, Ohl- hausen, Court & Tolosa, 2013). In Phase 2, the ORS/SRS data for outpatient psycho-oncology patients will be collected and collated with Phase 1 data. ORS data will assess individual, interper- sonal, social and overall functioning. The SRS data will assess the quality of the therapeutic relation- ship and consensus on goals, method and approach. RESULTS: The Phase 1 Audit (Pereira et al., 2013) found that psycho-oncology patient ORS and SRS scores improved from intial to final session. Data from Phase 2 is anticipated to show similar trends and will focus on looking at the specific ORS/SRS variables, showing better thera- peutic alliance and agreement on goals, methods and approach may be correlated with improve- ments in patient report of individual, relational, social and overall functioning of cancer patients. CONCLUSIONS: Results will highlight the need for continuous measurement of therapeutic alliance and outcomes. Better alliance may allow for more targeted therapies and engagement.